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BMC Pediatrics

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Open Access 01-12-2024 | Muscle Relaxant | Research

Risk factors for delayed extubation after pediatric perineal anaplasty in patients less than 1 year of age: a retrospective study

Authors: Qianqian Zhang, Jing Xu, Qinghua Huang, Tianqing Gong, Jia Li, Yu Cui

Published in: BMC Pediatrics | Issue 1/2024

Abstract

Background

Anorectal malformation is a common congenital problem occurring in 1 in 5,000 births and has a spectrum of anatomical presentations, requiring individualized surgical treatments for normal growth. Delayed extubation or reintubation may result in a longer intensive care unit (ICU) stay and hospital stay, increased mortality, prolonged duration of mechanical ventilation, increased tracheostomy rate, and higher hospital costs. Extensive studies have focused on the role of risk factors in early extubation during major infant surgery such as Cardiac surgery, neurosurgery, and liver surgery. However, no study has mentioned the influencing factors of delayed extubation in neonates and infants undergoing angioplasty surgery.

Materials and Methods

We performed a retrospective study of neonates and infants who underwent anorectal malformation surgery between June 2018 and June 2022. The principal goal of this study was to observe the incidence of delayed extubation in pediatric anorectal malformation surgery. The secondary goals were to identify the factors associated with delayed extubation in these infants.

Results

We collected data describing 123 patients who had anorectal malformations from 2019 to 2022. It shows that 74(60.2%) in the normal intubation group and 49(39.8%) in the longer extubation. In the final model, anesthesia methods were independently associated with delayed extubation (P < 0.05).

Conclusion

We found that the anesthesia method was independently associated with early extubation in neonates and infants who accepted pediatric anorectal malformation surgery.

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Title: Risk factors for delayed extubation after pediatric perineal anaplasty in patients less than 1 year of age: a retrospective study
Authors: Qianqian Zhang
Jing Xu
Qinghua Huang
Tianqing Gong
Jia Li
Yu Cui
Publication date: 01-12-2024
Publisher: BioMed Central
Keywords: Muscle Relaxant
Muscle Relaxant
Published in: BMC Pediatrics / Issue 1/2024
Electronic ISSN: 1471-2431
DOI: https://doi.org/10.1186/s12887-024-04781-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Risk factors for delayed extubation after pediatric perineal anaplasty in patients less than 1 year of age: a retrospective study

Abstract

Background

Materials and Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Materials and Methods

Results

Conclusion

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